Ukudonsa futhi ukuma kuyizinto ezimnandi nezithakazelisayo ezinganeni. Ukuma ngokuvamile kuyisandulela sokuhamba nokuhamba futhi kusho ukuthi ingane yakho iseduze nokuba yinto ehamba phambili kakhulu.
Ngokweshadi lika-Denver II lokuPhuthuka lokuHlola, izinsana zivame uku:
- Hamba, ubambelele ezintweni eziphakathi kwezinyanga ezingu-6 kuya kwezingu-8 1/2
- Donsela esimweni sokuma phakathi kwezinyanga ezingu-8 kuya kwezingu-10
- Hlala cishe amasekhondi angu-2 phakathi kwezinyanga ezingu-9 kuya ku-11 1/2
- Yima yedwa phakathi kwezinyanga ezingu-10 kuya kwezingu-14
Lokho akulona uhla lapho zonke izinsana zihlangabezana nalezi zinsuku ezibalulekile, noma kunjalo.
Kulula uma ama-25-90% wezinsana zingama, zibambe noma zime zodwa, njll. Ngakho-ke, cishe izingane eziyi-10% zingathatha isikhashana futhi ekugcineni zihlangabezane nesenzakalo esibaluleke kakhulu amasonto ambalwa noma izinyanga ezimbalwa kamuva.
Ukunciphisa Ukuthuthukiswa Ukuma
Kungani ingane yakho ingahlali okwamanje?
Ikakhulukazi uma ingane yakho ihlangana nezinye izinyathelo zokuthuthukiswa okuncane emva kwesikhathi esivamile, kodwa ekugcineni yathola, ngakho-ke kungenzeka ukuthi idinga isikhathi esengeziwe nalokhu.
Ezinye izimo zezokwelapha ezingabangela ukubambezeleka kokuma noma ukuhamba kungase kuhlanganise:
- I-cerebral palsy
- Izinkinga zama-orthopedic ezinqenqemeni
- I-Down syndrome
- I-dystrophy yama-muscular
Ngezinyanga ezingu-18, udokotela wezingane kufanele aqiniseke ukuthi ingane yakho ingakwazi "ukuhlala, ukuma, nokuhamba ngokuzimela."
Okufanele Ukwazi Ngokuma
Ngaphandle kwala macebiso, ezinye izinto ozokwazi ngokuma zihlanganisa ukuthi:
- Izinsana ezincane kakhulu ziyakwazi ukumelana nokusekelwa futhi zithwale isisindo emilenzeni yazo phakathi kwezinyanga ezimbili no-4 1/2, futhi cha, ngeke kubangele ukuba babe nemilenze yomnsalo.
- Intsha encane ingahamba emuva phakathi kwezinyanga ezingu-13 no-17.
- Intsha encane iqala ukusebenza futhi ihamba ngezinyathelo ezinyangeni ezingu-14.
- Izinsana ezingatholakali ukuthuthukiswa kwe-hip dysplasia cishe zimele futhi zizofunda ukuhamba nge-limp noma i-waddling gait.
Khuluma nabanakekela izingane zakho noma ucabange ngokudluliselwa ku-ECI noma isazi sezokuthuthukiswa uma unenkinga yokuthi ingane yakho ayimile ngesikhathi noma ihamba kancane.
Imithombo:
Umbiko wezokwelapha we-AAP. Ukunciphisa Ukuhamba Kwezimoto: Ukuqaphela Ukuqala Nokuhlola. I-Pediatrics 2013; 131: e2016-e2027.